Employer Form for On-Site Evaluation & Certification
Modern E-Training is dedicated to making this online experience easy for it's customers. Please fill out the form below and our staff will coordinate the logistics behind certifying your operators.

Pricing for this package will include the following:

* Online Counterbalanced Forklift Operator Training Course
* On-Site Evaulation Required for Certification (Min. Charge Applies)
* Evaluation Form, Operator's Card, Certificate of Completion for each Operator

Thank you from the Modern E-Training Staff!
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Email *
Are you a current Modern Group LTD. Customer? *
If Yes, please specify your Customer #:
What is your Company Name & Location? *
How Many Operators Require On-Site Evaluation? (Min. Charge May Apply) *
How Many Operators Are New?
How Many Operators Are Being Recertified?
Location(s) of On-Site Evaluation: *
Estimated Date of Evaluation: *
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PO Number (If Applicable):
Form of Payment:
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Referred By (Salesperson):
If referred by a Modern Group salesperson, please identify them below:
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